Organization
CENTER FOR PHYSICAL MEDICINE & REHABILITATION P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN S LADIN MD (CEO/PRESIDENT)
(602) 246-9002
Entity
Organization
Contact information
Practice address
7600 N 15TH ST STE 102, PHOENIX, AZ 85020-4330
(602) 246-7410
(602) 246-7950
Mailing address
1331 N 7TH ST STE 360, PHOENIX, AZ 85006-2772
(602) 246-9002
(602) 246-7950
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
08/16/2006
Last updated
11/17/2020
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